Lateral Supramalleolar Flap for Coverage of Ankle and Foot Defects in Children

Hamdi, M.F.; Khlifi, Anis

doi:10.1053/j.jfas.2011.10.014

Cited by 29 publications

(19 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Yet, in this era of microsurgery, there is always scope for local pedicle flaps especially when the microsurgical free tissue transfer fails or when there is lack of microsurgical expertise as in the The lateral supramalleolar flap 1 since its inception has undergone significant modifications in terms of design and clinical application owing to extensive study of the anatomy of its components 2,3 and its vascular supply. [4][5][6] The initial description of the flap being a fasciocutaneous pedicle flap, 1 Valenti et al 2 made the first technical modification by islanding the fasciocutaneous skin paddle and based it on a fascial pedicle so as to decrease the bulk and enable the ease of tunneling the flap. In our study, though the flaps were designed and elevated as described by Valenti et al, none of our flaps were tunneled.…”

Section: Discussionmentioning

confidence: 99%

“…3 Over the years, studies have been conducted regarding its vascular axis and cutaneous supply from both the peroneal and anterior tibial vessels and it has undergone modifications in terms of its design, composition, and reach. [4][5][6] The skin component of the flap extends from the junction of the middle and upper third of the leg proximally, 5 cm proximal and anterior to the lateral malleolus distally, medially the shin of the tibia, and laterally the fibula. The lateral supramalleolar flap contains the superficial peroneal nerve with its vascular plexus in its substance and it derives its vascular supply from the peroneal perforators 4,5 as well as from the lateral supramalleolar branch of the anterior tibial artery and can be based on both or either one of them depending on the requirement.…”

Section: Introductionmentioning

confidence: 99%

“…When this flap is based on the peroneal perforator, the arterial supply is through prograde flow and when it is based on the lateral supramalleolar artery, the arterial supply is through a retrograde flow. 6 With the peroneal artery being the least involved in atherosclerotic changes and diabetic vasculopathy, this flap has always has a reliable vascular supply from one of the consistent perforators of the peroneal artery that is located within 5 cm proximal to the lateral malleolus.…”

Section: Introductionmentioning

confidence: 99%

“…In this article, a retrospective study of the cases in which the lateral supramalleolar flap was used as a fasciocutaneous island pedicle flap to cover soft tissue defects in the region surrounding the ankle 6,7 is presented with the analysis of results.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical Study of the Lateral Supramalleolar Flap in the Soft Tissue Reconstruction around the Ankle Region

Nambi¹,

Varanambigai

2020

Indian J Plast Surg

View full text Add to dashboard Cite

Objective The purpose of this study is to present the efficiency of the lateral supramalleolar flap which is a very useful and yet underutilized in the soft tissue reconstruction of the regions extending from the distal leg, ankle, and foot. Methods Over a period of 3 years, 20 flaps were used in the reconstruction of soft tissue defects in the region extending from the distal leg, ankle, and foot. The location of the defects, the etiology, possible alternative flaps, outcome, and the complications were studied and presented. Results The follow-up period of the cases was from 1 month to 18 months after surgery. Seventeen flaps survived and three were lost. All the three lost flaps were those used over the tendocalcaneal region. The lost flaps were later replaced with split skin graft after the wound was debrided and was later covered with granulation tissue. Conclusion The lateral supramalleolar flap is a very useful flap in the regional soft tissue reconstruction around the ankle except in the tendocalcaneal region.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Study of the Lateral Supramalleolar Flap in the Soft Tissue Reconstruction around the Ankle Region

Nambi¹,

Varanambigai

2020

Indian J Plast Surg

View full text Add to dashboard Cite

show abstract

“…Moreover, in two specimens, It pierced IM at the distance of 8.5 cm from the tip of LM and then it communicated with ATA at about 7 cm from the LM (figure 1a) and in another specimen it pierced the IM at the base of LM. Masquelet et al, recommend supramalleolar perforator flap for reconstructions at the distal leg and foot(15). In their systematic review on perforator flap, Tajsic and his coworkers explained that in distally based perforator flap i.e supramalleolar flap, reconstruction failure rate is lowest compared to other perforator flaps or saphenous flaps(16).R.…”

mentioning

confidence: 99%

A study on perforating peroneal artery

Rai

Tonse

Bem

et al. 2020

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Aims. Peroneal flap with vascular pedicles is considered as a good substitute for limb reconstructions or any other soft tissue defects because of the number of perforating branches given from the PA. Purpose of this study is to evaluate the branching and communicating pattern of distal most perforating peroneal artery (PP). Methods. Dissected lower limbs of 48 cadavers were studied for the course and communications of PP. Results. The study encountered usual as well as variant communications of PP. In about 12% of the study sample PP continued as DPA and in about 6% of the cases it was communicated with DPA dorsal to the talar head region. The most frequent finding in the present study is PP piercing the interosseous membrane between tibia and fibula at about 6 to 6.5cm proximal to the tip of lateral malleolus. In one of the specimens it was piercing the LM at the base of LM. Conclusions. The results of present study imply a cautious dissection to locate an appropriate vascular pedicle for the flap surgery as there are small communications of PP with ATA as well as DPA and PP can also take variant course. Because failure to do so may lead to accidental and serious vascular injuries.

show abstract

Lappenplastiken zur Defektdeckung am distalen Unterschenkel

2014

View full text Add to dashboard Cite

Soft tissue defects in the distal lower leg region are challenging to treat, especially in trauma cases. To achieve early closure of the defect, pediculated adipofascial or muscle flaps can be used as well as free flaps. The pediculated adipofascial suralis flap has a reliable blood supply and a broad radius so this flap can be used for almost every defect location on the distal lower leg except for defects larger than 10 × 10 cm. The donor site defect does not lead to major problems and is well tolerated. The soleus flap can cover defects in the middle third and proximal distal third of the lower leg with its muscle. The donor site defect is occasionally associated with reduced calf functioning but is tolerated well most of the time. Because of these advantages, the pediculated adipofacial suralis flap and the soleus muscle flap can be used instead a microvascular free flap for the closure of defects in the distal lower leg region.

show abstract

Lateral Supramalleolar Flap for Coverage of Ankle and Foot Defects in Children

Cited by 29 publications

References 10 publications

Clinical Study of the Lateral Supramalleolar Flap in the Soft Tissue Reconstruction around the Ankle Region

Clinical Study of the Lateral Supramalleolar Flap in the Soft Tissue Reconstruction around the Ankle Region

A study on perforating peroneal artery

Lappenplastiken zur Defektdeckung am distalen Unterschenkel

Contact Info

Product

Resources

About